Individual
JOHN DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, ER ADMINISTRATION, GREENVILLE, SC 29605
(864) 455-6372
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
14469
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144695
—
SC
01
—
20004420
SELECT HEATLTH
SC
01
—
576007863
BCBS
SC
01
—
930129083
MEDICARE RAILROAD
SC
Enumeration date
09/22/2006
Last updated
07/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us